Cloud computing and health care - Facing the Future
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Cloud computing presentation for April 14, 2010 Pharmacy OneSource webinar.
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Cloud computing and health care - Facing the Future
- 1. Jerry Fahrni, Pharm.D. April 14, 2010 Cloud Computing and Health Care Facing the Future
- 5. Cloud Computing Community Private Hybrid Public Essential Characteristics Service Models Deployment Models National Institute of Standards and Technology, Information Technology Laboratory Definition of Cloud Computing, Version 15, March 7, 2009 Software as a Service (SaaS) Platform as a Service (PaaS) Infrastructure as a Service (IaaS) Measured Service Rapid Elasticity On-Demand Self Service Broad Network Access Resource Pooling
- 6. Back End SaaS = Front End
- 8. Model Traditional SaaS Deployment Installed Hosted Location On premise (internalized) Centralized In “the cloud” (externalized) Decentralized Pricing Large up front cost + maintenance Small or no up front cost + pay as you go Development Longer cycle Short, continuous cycle Updates Large, infrequent Smaller, frequent
- 11. Cost – Cloud vs. Traditional Model The Economics of Cloud Computing: Addressing the Benefits of Infrastructure in the Cloud. Posted October 6, 2009
- 12. Tyagi, Chintan. "Comparison of Costs and Return on Investments of IT Investments" EazeWork . Web. 05 Mar. 2010
- 15. Concerns: SaaS and the cloud
- 17. Illusion of data security
- 18. Security and mobility – Laptops The Cost of a Lost Laptop - Ponemon Institute, April 2009 10,000 laptops lost in airports each week Average cost of a lost or stolen laptop is $49,246 For a healthcare laptop the average is $67,873
- 19. Source: DATALOSSdb.org Trulife 7,000 Cardiolog Consultants Inc 8,000 Aurora Medical Ctr 6,400 MARA 29,800 Shands Healthcare 12,500 Halifax Health 33,000
- 20. Cloud / SaaS Computing Model “The scale and flexibility of cloud computing gives the providers a security edge”
- 21. Concerns: SaaS and the cloud ReliaCloud survey version 1.0 | January 13, 2010
- 22. Exploring Cloud SLAs: Amazon vs Rackspace – http://www.thewhir.com/blog/Joshua_Beil/020110_Exploring_Cloud_SLAs_Amazon_vs_Rackspace Rackspace Amazon Uptime 100% 99.95% Timespan Current period “ service year” Time-to-resolve 1 hour Not specified Availability 99.9% 99.9%
- 23. … .why should we care?
- 24. “ ..about 70 percent of our folks are doing things that are entirely cloud-based, or cloud inspired. And by a year from now that will be 90 percent.” “In three years time, desktops will be irrelevant.” “The implication that has not been expressed here or in the industry is Mobile First – the principal of everything being developed for mobile first.”
- 33. Questions? Jerry Fahrni, Pharm.D. [email_address]
Notas do Editor
- Service-based software: the future for flexible software 2000 ● Software as a Service: Strategic Backgrounder. February 2001. Software & Information Industry Association
- Source: Messaging Total Cost of Ownership: Microsoft Exchange 2003 and Lotus Domino in Small and Medium Organizations, META Group, July 2004 Timothy Chou, The End of Software, SAMS Publishing, 2005 Microsoft Wages Campaign Against Using Free Software, The Wall Street Journal, December 9, 2002 Robert Mahowald, Do Service Providers Deliver Value and Reduce Enterprise Costs?, IDC, 2003 18:1 statistics, Trends in technology’, survey, Berkeley University of California, USA, March 2002
- O&S – operations and support LCC – Life cycle cost NPV – net present value (calculated as each cloud scenario’s discounted net benefits minus the one-time investment. Positive dollar fiture = positive economic benefit vs. SQ (status quo data center) environment BCR – Benefit-to-cost ratio – discounted net benefits divided by its discounted investment costs. # >1 indicates a positive economic benefit vs. SQ environment DPP – discounted payback period -# years it takes for each scenario’s accumulated annual benefits to equal its total investment cost
- The Office of the National Coordinator of Health Information Technology (ONC) / National Health Information Network (NHIN)
- The Cost of a Lost Laptop - Ponemon Institute, April 2009
- European Network and Information Security Agency Report
- • 99.95% Uptime : Approximately 21.9 minutes per month or .365 hours per month, which is equal to 262.8 minutes per year or 4.38 hours per year
- A lot of people don’t care and that’s a mistake.
- “ ..about 70 percent of our folks are doing things that are entirely cloud-based, or cloud inspired. And by a year from now that will be 90 percent.” – Steve Ballmer, Microsoft CEO, March 4, 2010 at speech delivered at Paul G. Allen Center for Computer Science & Engineering, University of Washington http://www.microsoft.com/presspass/exec/steve/2010/03-04Cloud.mspx “In three years time, desktops will be irrelevant.” – John Herlihy, European Director of Google online sales, Digital Landscapes conference Dublin “The implication that has not been expressed here or in the industry is Mobile First – the principal of everything being developed for mobile first.” – Eric Schmidt, Google CEO, Mobile World Congress in Barcelona
- http://www.computerworld.com/s/article/9160918/Cloud_servers_help_hospital_with_digital_records "We could have gone with a classic environment - server clusters and building arrays for storage; the problem was that we'd have to build it for the largest load we'd ever need and we had no guarantee anyone would use it." Bill Gillis, eHealth Technical Director
- HealthVault Community Connect 250 Patient pilot Looked at patients with chronic diseases HTN Diabetes Heart Failure Data collected Glucometers Blood pressure monitors Scales Pedometers Data Sent to HealthVault and sent to hospital system Increased days between visits 71% for diabetes 26% for HTN According to Randall C. Starling, M.D., M.P.H., Section Head of Heart Failure & Cardiac Transplant Medicine, Cleveland Clinic. “The ability to monitor weight, blood pressure and activity levels of heart failure patients on a regular basis ensures more timely doctor visits and avoidance of more expensive interventions.”
- http://www.cmio.net/index.php?option=com_articles&view=article&id=21390:cloud-computing-the-forecast-for-image-management http://www.healthcareitnews.com/news/montana-providers-use-cloud-computing-share-radiology-data http://www.emix.com/pdfs/Facilities%20Use%20Cloud%20Computing%20to%20Share%20Radiology%20Images.pdf A-b 245 miles b-c 67 miles A = Great Falls Clinic B= Kalispell Med Ctr C = St. Luke Hosp PACS http://www.expresshealthcare.in/200702/radiologybuzz04.shtml “ Smaller practices and health information exchange s are often using applications that are based in a cloud computing model, or software-as-a-service [SaaS] model,” says Moore. “Large hospitals and IDNs are increasingly looking to provide a repository for the massive amounts of data that they need to store and access, on an as-needed basis—more of a utility service.” - managing partner at Chilmark Research , a healthcare technology industry analyst firm.
- http://healthit.hhs.gov/, U.S. Department of Health & Human Services Considerations for eHealth data Data volume Interoperability Portability and access